Since the first successful microvascular free flap was performed by Daniel & Taylor in 1973, it has been popularized in the plastic and reconstructive surgery. The free skin flap has proved its great versatility as compared with conventional pedicle flap methods. It can be applied to extensive skin defects and one-stage pedicle flap procedure, and hospital stay is shorter. Early ambulation and rehabilitation are possible.
In 1980, Frenklin reported on the use of deltoid free flap, which was based on posterior circumflex humeral vessel. The flap has relatively thin subcutaneous tissue, but has thicker dermal layer, so provides stability to the sole and heel of foot. Anatomically the plane of dissection is easily identified. The donor scar is minimal, and functionally and cosmetically acceptable.
Authors have good result using deltoid free flap for reconstruction of shallow tissue defect.
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